Dewitt Charles Fortenberry, MD is a medicare enrolled "General Practice" physician in Texarkana, Texas. His current practice location is
2602 Saint Michael Dr, Suite 302, Texarkana, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 336-2391.
Dewitt Charles Fortenberry is licensed to practice in Texas (license number L8691) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114960473.
Physician's Profile
Full Name | Dewitt Charles Fortenberry |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2602 Saint Michael Dr, Texarkana, Texas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dewitt Charles Fortenberry attended and graduated from in
NPI Data:
- NPI Number: 1114960473
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 09/17/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dewitt Charles Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114960473 | NPI | - | NPPES |
167594401 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | L8691 (Texas) | Secondary |
208D00000X | General Practice | L8691 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dewitt Charles Fortenberry is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dewitt Charles Fortenberry, MD 116 Westlake Rd, Texarkana, TX 75501-0006 Ph: (903) 293-7093 | Dewitt Charles Fortenberry, MD 2602 Saint Michael Dr, Suite 302, Texarkana, TX 75503-2387 Ph: (903) 336-2391 |
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